| NPI | 1497784466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 20157) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS r858448) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2022-01-18 |